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Promoting couples collaboration in type 2 diabetes: the diabetes support project pilot data
Paula Trief1, Jonathan G Sandberg, Robert Ploutz-Snyder
1Department of Psychiatry, SUNY Upstate Medical University, Syracuse, NY 13210, USA. triefp@upstate.edu
Summary
This pilot study shows telephone-delivered interventions can improve Type 2 diabetes management for patients and partners. Both individual and couples approaches improved medical outcomes and blood glucose control.
Area of Science:
- Endocrinology
- Behavioral Medicine
- Public Health
Background:
- Type 2 diabetes self-management is complex and often benefits from social support.
- Couples-based interventions may enhance patient engagement and adherence to treatment plans.
- Telephone delivery offers a feasible method for reaching diverse patient populations.
Purpose of the Study:
- To assess the feasibility and potential efficacy of a couples-focused, telephone-delivered intervention for Type 2 diabetes self-care.
- To compare a couples intervention with an individual intervention and standard diabetes education.
- To evaluate the impact on blood glucose control and other medical outcomes.
Main Methods:
- A pilot randomized controlled trial involving 44 couples where one partner had Type 2 diabetes.
- Participants were assigned to a couples intervention, individual intervention, or individual diabetes education.
- Interventions focused on collaborative problem-solving, goal-setting, dietary changes, and emotional support, delivered via telephone.
Main Results:
- Both individual and couples interventions demonstrated meaningful clinical improvements in medical outcomes.
- Standard diabetes education also led to improved blood glucose control.
- Statistically significant treatment effects were observed for total cholesterol, despite the small sample size.
Conclusions:
- Telephone-delivered interventions are feasible and potentially efficacious for Type 2 diabetes management in patients and their partners.
- The findings support the refinement and further evaluation of this intervention in larger trials.
- Collaborative approaches within couples show promise for improving diabetes self-care and health outcomes.
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